Splenic infarction

Over the last two decades, several cases of infections caused by Lactococcus lactis have been reported. This Gram-positive coccus is considered non-pathogenic for humans. However, in some rare cases, it can cause serious infections such as endocarditis, peritonitis, and intra-abdominal infections.

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(BQ) Continued part 1, part 2 of the document Imaging for surgical disease presents the following contents: Appendicitis, renal cyst, renal cell carcinoma, wilms tumor, horseshoe kidney, splenic artery aneurysm, splenic cyst, splenic infarction, traumatic brain injury, subdural hematoma,...

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Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Splenic infarction complicating percutaneous transluminal coeliac artery stenting for chronic mesenteric ischaemia: a case report

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Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Cytomegalovirus-associated splenic infarcts in a female patient with Factor V Leiden mutation: a case report

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Clinical Presentation Symptoms The clinical onset of the chronic phase is generally insidious. Accordingly, some patients are diagnosed while still asymptomatic, during health-screening tests; other patients present with fatigue, malaise, and weight loss or have symptoms resulting from splenic enlargement, such as early satiety and left upper quadrant pain or mass. Less common are features related to granulocyte or platelet dysfunction, such as infections, thrombosis, or bleeding.

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Complications The major clinical complications of PV relate directly to the increase in blood viscosity associated with red cell mass elevation and indirectly to the increased turnover of red cells, leukocytes, and platelets with the attendant increase in uric acid and cytokine production. The latter appears to be responsible for the increase in peptic ulcer disease and for the pruritus associated with this disorder, although formal proof for this has not been obtained. A sudden massive increase in spleen size can be associated with splenic infarction or progressive cachexia.

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Approach to the Patient: Splenomegaly Clinical Assessment The most common symptoms produced by diseases involving the spleen are pain and a heavy sensation in the LUQ. Massive splenomegaly may cause early satiety. Pain may result from acute swelling of the spleen with stretching of the capsule, infarction, or inflammation of the capsule. For many years it was believed that splenic infarction was clinically silent, which at times is true.

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Table 14-2 Differential Diagnoses of Abdominal Pain by Location Right Quadrant Upper Epigastric Left Quadrant Upper Cholecystitis Peptic disease ulcer Splenic infarct Cholangitis Gastritis Splenic rupture Pancreatitis GERD Splenic abscess Pneumonia/empyema Pancreatitis Gastritis Pleurisy/pleurodynia Myocardial infarction Gastric ulcer Subdiaphragmatic abscess Pericarditis Pancreatitis Hepatitis Ruptured aortic aneurysm Subdiaphragmatic abscess Budd-Chiari syndrome Esophagitis Right Quadrant Lower Periumbilical Left Quadrant Lower Appendicitis Early app...

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